The role and possibilities of counseling in increasing knowledge of hormonal contraception benefits

Spiridonova N.V., Kazakova A.V., Uvarova E.V., Komarova M.V., Bezrukova A.A.

1 Samara State Medical University, Ministry of Health of Russia, Samara 443099, Chapayevskaya str. 89, Russia 2 Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow 117997, Ac. Oparina str. 4, Russia 3 Department of Obstetrics, Gynecology, Perinatology and Reproduction, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow 119048, Trubetskaya str. 8, bld. 2, Russia 4 Academician S.P. Korolev Samara National Research University, Samara 443086, Moskovskoye shosse 3, Russia
Objective. To analyze the level of awareness of contraception and to study the opportunities for counseling women of Samara on the prevention of unwanted pregnancies.
Subjects and methods. The investigation enrolled reproductive-aged women from the city of Samara who sought for medical advice for the first time. A questionnaire survey was employed in this investigation. A total of 250 questionnaires were analyzed using SPSS 21 software.
Results. About 75% of the women know that a condom is a reliable means of protection against unwanted pregnancy and both HIV and other sexually transmitted diseases. More than half of the respondents (69.2%) are aware of emergency contraception; only 49.6% realize that coitus interruptus is an unreliable method of birth control while 29.2% of the respondents used this method. Only 47.2% of the respondents are aware of the high reliability of combined oral contraceptives (COC) while those who know about the high efficiency of COC apply the latter more commonly: 16.9% vs 5.3% (p < 0.001).
Conclusion. Medical specialists should provide more information on safe sex, prevention of an unwanted pregnancy preferably before the onset of sexual activity; the knowledge and awareness of contraception in a woman plays a large role in her choosing its method.

Keywords

contraceptive behavior
hormonal contraception
condom
emergency contraception
coitus interruptus
advice on contraception

Supplementary Materials

  1. Fig. 1. Knowledge of the reliability of contraceptives
  2. Fig. 2. Knowledge of the main means of contraception and their application in practice

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Received 08.09.2017

Accepted 22.09.2017

About the Authors

Spiridonova Natalia V., Doctor of Medicine, Professor of the Department of Obstetrics and Gynecology Obstetrics and Gynaecology of the Institution of Postgraduate Education, Samara State Medical University. 443099, Russia, Samara, Chapayevskaya str. 89. Tel.: +78462071968. E-mail: nvspiridonova@mail.ru nspiridonova@mail.ru
Kazakova Anna V., PhD, Associate professor, Department of Obstetrics and Gynaecology of the Institution of Postgraduate Education, Samara State Medical University. 443099, Russia, Samara, Chapayevskaya str. 89. Tel.: +78462071968. Е-mail: amigo14021980@yandex.ru
Uvarova Elena V., MD PhD, Professor, Head of the Department of Pediatric Gynecology, Research Center of Obstetrics, Gynecology, and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: elena-uvarova@yandex.ru
Komarova Marina V., PhD, Associate professor, Department of laser and biotechnical systems, Academician S.P. Korolev Samara National Research University;
Researcher of the laboratory for analysis and processing of medical data, Center of IT-medicine, Samara State Medical University.
443086, Russia, Samara, Moskovskoye shosse 3. E-mail: marinakom@yandex.ru
Bezrukova Alina A., clinical resident of the Department of Obstetrics and Gynecology of Samara State Medical University. 443099, Russia, Samara, Chapayevskaya str. 89.
Tel.: +78462071968. Е-mail: bezzrukovaa@yandex.ru

For citations: Spiridonova N.V., Kazakova A.V., Uvarova E.V., Komarova M.V., Bezrukova A.A. The role and possibilities of counseling in increasing knowledge of hormonal contraception benefits. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (10): 104-10. (in Russian)
https://dx.doi.org/10.18565/aig.2017.10.104-110

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